Mississippi State University
NPI #1487463311 in Mississippi State, Mississippi
Provider Information
- NPI Number
- 1487463311
- Entity Type
- Organization
- Organization Name
- Mississippi State University
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MISSISSIPPI STATE UNIVERSITY
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jan 6, 2025
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 695 BULLY BLVD
- State
- Mississippi
- ZIP Code
- 39762
- Phone
- (662) 325-1028
Authorized Official
- Name
- MARTHA LEIGH THOMAS
- Title
- BUSINESS DIRECTOR
- Phone
- (662) 325-1028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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